Individual
PRESTON IVAN NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
16350 N PAT TILLMAN BLVD, 120, SURPRISE, AZ 85387
(623) 738-0370
Mailing address
16350 N PAT TILLMAN BLVD #120, SURPRISE, AZ 85387
(623) 738-0370
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D012813
AZ
1223G0001X
General Practice Dentistry
D012813
AZ
Other
Enumeration date
06/12/2026
Last updated
06/12/2026
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